Elroi Idd, LLC

Primary specialty

Long Term Care HospitalTaxonomy code 282E00000X

Legal business name

ELROI IDD, LLC

Practice address

885 Brandywine St
Beaumont, TX 77706-5425

Phone

(409) 225-5922

Fax

(409) 225-5922

NPI assigned

Dec 21, 2023

Last updated

Mar 28, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Carline CenatusNPI 1386972172

Title

Owner, Director

Phone

(409) 225-5922

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carline Pierre-Louis Cenatus, PA

  • Physician Assistant
  • Beaumont, TX
  • NPI 1386972172
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1703116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1225807050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 BRANDYWINE ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777065425",
            "telephone_number": "409-225-5922",
            "fax_number": "409-225-5922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 BRANDYWINE ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777065425",
            "telephone_number": "409-225-5922",
            "fax_number": "409-225-5922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELROI IDD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-21",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "CENATUS",
        "authorized_official_first_name": "CARLINE",
        "authorized_official_title_or_position": "OWNER, DIRECTOR",
        "authorized_official_telephone_number": "409-225-5922"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Long Term Care Hospital in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Long Term Care Hospital in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.